Recovering the personal identity of an elderly patient with cleft lip: a case report
Identifieur interne : 003792 ( Main/Exploration ); précédent : 003791; suivant : 003793Recovering the personal identity of an elderly patient with cleft lip: a case report
Auteurs : Wissem Khalil [Brésil] ; Henrique Laboissière Da Silva ; Kátia Tavares Serafim [Brésil] ; Luiz Evaristo Ricci Volpato ; Luiz Fernando Passos Casela [Brésil] ; Andreza Maria Fábio AranhaSource :
- Special Care in Dentistry [ 0275-1879 ] ; 2012-09.
English descriptors
- KwdEn :
- Adult patients, Alar base, Alveolar ridge, Anterior portion, Better definition, Buccal mucosa, Case report, Cleft, Cleft palate, Cleft palate craniofac, Cleft side, Complete cleft, Complete dentures, Craniofacial morphology, Craniomaxillofac surg, Elderly patient, Elderly patients, Facial, Facial esthetics, Facial growth, Facial profile, Female ratio, Functional repair, General anesthesia, Mato grosso, Maxillary, Mucocutaneous line, Narrow strip, Nasal floor, Noncleft side, Nose distortion, Nylon suture, Orbicularis oris muscle, Oroantral fistula, Palate, Palate patients, Palate patients service, Palate repair, Plast, Plast reconstr surg, Plastic surgery, Reconstr, Revisional surgery, Right side, Second layer, Septum deviation, Silva filho, Speech therapy, Surg, Surgical, Unilateral, Unilateral cleft, Unilateral clefts, Unoperated, Unoperated cleft, Vermilion volume, Vicryl suture.
- Teeft :
- Adult patients, Alar base, Alveolar ridge, Anterior portion, Better definition, Buccal mucosa, Case report, Cleft, Cleft palate, Cleft palate craniofac, Cleft side, Complete cleft, Complete dentures, Craniofacial morphology, Craniomaxillofac surg, Elderly patient, Elderly patients, Facial, Facial esthetics, Facial growth, Facial profile, Female ratio, Functional repair, General anesthesia, Mato grosso, Maxillary, Mucocutaneous line, Narrow strip, Nasal floor, Noncleft side, Nose distortion, Nylon suture, Orbicularis oris muscle, Oroantral fistula, Palate, Palate patients, Palate patients service, Palate repair, Plast, Plast reconstr surg, Plastic surgery, Reconstr, Revisional surgery, Right side, Second layer, Septum deviation, Silva filho, Speech therapy, Surg, Surgical, Unilateral, Unilateral cleft, Unilateral clefts, Unoperated, Unoperated cleft, Vermilion volume, Vicryl suture.
Abstract
Instances of unoperated cleft lip and/or palate (CLP) in adult or elderly patients are still seen in developing countries. This paper presents the multidisciplinary management and the personal identity revival of a 72‐year‐old patient with unoperated unilateral complete cleft lip. The facial deformity was characterized by a protrusion of the excess of orbicularis oris muscle, irregularities of the upper lip, nose distortion, and septum deviation to the cleft side. The patient was edentulous with the maxillary alveolar ridge collapsed and an associated fistula. The cleft lip was repaired using the Tennison–Randall technique and complete dentures were delivered after the oroantral fistula had been closed. The patient was very pleased with the improvement in speech and eating and she approved of her facial esthetics. The existence of unoperated oral clefts in the elderly population highlights the need to improve policies in treating patients with CLP, mainly in developing countries.
Url:
DOI: 10.1111/j.1754-4505.2012.00272.x
Affiliations:
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult patients</term>
<term>Alar base</term>
<term>Alveolar ridge</term>
<term>Anterior portion</term>
<term>Better definition</term>
<term>Buccal mucosa</term>
<term>Case report</term>
<term>Cleft</term>
<term>Cleft palate</term>
<term>Cleft palate craniofac</term>
<term>Cleft side</term>
<term>Complete cleft</term>
<term>Complete dentures</term>
<term>Craniofacial morphology</term>
<term>Craniomaxillofac surg</term>
<term>Elderly patient</term>
<term>Elderly patients</term>
<term>Facial</term>
<term>Facial esthetics</term>
<term>Facial growth</term>
<term>Facial profile</term>
<term>Female ratio</term>
<term>Functional repair</term>
<term>General anesthesia</term>
<term>Mato grosso</term>
<term>Maxillary</term>
<term>Mucocutaneous line</term>
<term>Narrow strip</term>
<term>Nasal floor</term>
<term>Noncleft side</term>
<term>Nose distortion</term>
<term>Nylon suture</term>
<term>Orbicularis oris muscle</term>
<term>Oroantral fistula</term>
<term>Palate</term>
<term>Palate patients</term>
<term>Palate patients service</term>
<term>Palate repair</term>
<term>Plast</term>
<term>Plast reconstr surg</term>
<term>Plastic surgery</term>
<term>Reconstr</term>
<term>Revisional surgery</term>
<term>Right side</term>
<term>Second layer</term>
<term>Septum deviation</term>
<term>Silva filho</term>
<term>Speech therapy</term>
<term>Surg</term>
<term>Surgical</term>
<term>Unilateral</term>
<term>Unilateral cleft</term>
<term>Unilateral clefts</term>
<term>Unoperated</term>
<term>Unoperated cleft</term>
<term>Vermilion volume</term>
<term>Vicryl suture</term>
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<term>Alveolar ridge</term>
<term>Anterior portion</term>
<term>Better definition</term>
<term>Buccal mucosa</term>
<term>Case report</term>
<term>Cleft</term>
<term>Cleft palate</term>
<term>Cleft palate craniofac</term>
<term>Cleft side</term>
<term>Complete cleft</term>
<term>Complete dentures</term>
<term>Craniofacial morphology</term>
<term>Craniomaxillofac surg</term>
<term>Elderly patient</term>
<term>Elderly patients</term>
<term>Facial</term>
<term>Facial esthetics</term>
<term>Facial growth</term>
<term>Facial profile</term>
<term>Female ratio</term>
<term>Functional repair</term>
<term>General anesthesia</term>
<term>Mato grosso</term>
<term>Maxillary</term>
<term>Mucocutaneous line</term>
<term>Narrow strip</term>
<term>Nasal floor</term>
<term>Noncleft side</term>
<term>Nose distortion</term>
<term>Nylon suture</term>
<term>Orbicularis oris muscle</term>
<term>Oroantral fistula</term>
<term>Palate</term>
<term>Palate patients</term>
<term>Palate patients service</term>
<term>Palate repair</term>
<term>Plast</term>
<term>Plast reconstr surg</term>
<term>Plastic surgery</term>
<term>Reconstr</term>
<term>Revisional surgery</term>
<term>Right side</term>
<term>Second layer</term>
<term>Septum deviation</term>
<term>Silva filho</term>
<term>Speech therapy</term>
<term>Surg</term>
<term>Surgical</term>
<term>Unilateral</term>
<term>Unilateral cleft</term>
<term>Unilateral clefts</term>
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<term>Unoperated cleft</term>
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<front><div type="abstract" xml:lang="en">Instances of unoperated cleft lip and/or palate (CLP) in adult or elderly patients are still seen in developing countries. This paper presents the multidisciplinary management and the personal identity revival of a 72‐year‐old patient with unoperated unilateral complete cleft lip. The facial deformity was characterized by a protrusion of the excess of orbicularis oris muscle, irregularities of the upper lip, nose distortion, and septum deviation to the cleft side. The patient was edentulous with the maxillary alveolar ridge collapsed and an associated fistula. The cleft lip was repaired using the Tennison–Randall technique and complete dentures were delivered after the oroantral fistula had been closed. The patient was very pleased with the improvement in speech and eating and she approved of her facial esthetics. The existence of unoperated oral clefts in the elderly population highlights the need to improve policies in treating patients with CLP, mainly in developing countries.</div>
</front>
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<name sortKey="Da Silva, Henrique Laboissiere" sort="Da Silva, Henrique Laboissiere" uniqKey="Da Silva H" first="Henrique Laboissière" last="Da Silva">Henrique Laboissière Da Silva</name>
<name sortKey="Volpato, Luiz Evaristo Ricci" sort="Volpato, Luiz Evaristo Ricci" uniqKey="Volpato L" first="Luiz Evaristo Ricci" last="Volpato">Luiz Evaristo Ricci Volpato</name>
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<country name="Brésil"><region name="Mato Grosso"><name sortKey="Khalil, Wissem" sort="Khalil, Wissem" uniqKey="Khalil W" first="Wissem" last="Khalil">Wissem Khalil</name>
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<name sortKey="Serafim, Katia Tavares" sort="Serafim, Katia Tavares" uniqKey="Serafim K" first="Kátia Tavares" last="Serafim">Kátia Tavares Serafim</name>
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